1. Oversee the entire revenue cycle process for all surgery centers, including patient registration, scheduling accuracy, insurance verification, billing, coding, collections, payment processing and health information management within the chosen practice management platforms.
2. Lead, mentor, and develop the revenue cycle team across all surgery center locations, fostering a culture of excellence and continuous improvement. Set clear performance goals and metrics for the revenue cycle team and monitor their achievement.
3. Ensure accurate patient estimate creation is provided timely to every scheduled person along with the collection of all point of service amounts due before the surgery.
4. Ensure timely and accurate billing and coding to maximize revenue capture.
5. Implement best practices to reduce denials and improve collection rates across all locations. Collaborate with clinical, administrative, and IT departments at each surgery center to optimize revenue cycle workflows within the practice management software.
6. Oversee clinical documentation initiatives to support accurate billing and coding. Work closely with physicians and clinical staff to ensure proper documentation practices.
7. Develop and implement strategic plans to optimize revenue cycle performance across multiple sites. Communicate effectively with senior management, providing insights and recommendations for revenue cycle improvements aligned with budget including regular audits to identify and mitigate risk.
8. Monitor and analyze key performance indicators (KPIs) related to the revenue cycle at each surgery center.
9. Prepare and present financial reports to senior management, highlighting trends and areas for improvement.
10. Develop and manage the revenue cycle budget, ensuring cost-effective operations across all sites.
11. Ensure compliance with federal, state, and local regulations related to documentation, billing and reimbursement.
12. Stay updated on changes in healthcare regulations and payer requirements, ensuring all sites are compliant Foster strong relationships with payers and other external stakeholders.
13. Role models the principals of a Just Culture and Organizational Values.
14. Performs other duties as assigned.  Must be HIPAA compliant.

• 5 years of experience in Surgery Center revenue cycle management including revenue cycle management software and financial reporting tools.
• 3 years in a leadership role, preferably in a multi-location healthcare setting.
• 5 years healthcare billing, coding, and reimbursement processes.
• Ability to analyze complex data and develop actionable strategies.
• Knowledge of healthcare regulations and compliance requirements.
• Experience managing revenue cycle operations across multiple locations is highly desirable.

Preferred:

• HST Pathways Practice Management implementation along with eChart
• Waystar clearinghouse optimized workflow

• N/A

• Financial Management Association (HFMA) or Medical Group Management Association (MGMA) certifications preferred

• Must possess, or be able to obtain within 90 days, the computer skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

• Bachelor?s degree in finance, business administration, healthcare management, or a related field. Master?s degree preferred.

Benefits at Vail Health (Full Time) Include:

• Competitive Wages & Family Benefits:
  • Competitive wages
  • Parental leave (4 weeks paid)
  • Housing programs
  • Childcare reimbursement 
• Comprehensive Health Benefits: 
  • Medical
  • Dental 
  • Vision
• Educational Programs: 
  • Tuition Assistance 
  • Existing Student Loan Repayment
  • Specialty Certification Reimbursement
  • Annual Supplemental Educational Funds
• Paid Time Off:
  • Up to five weeks in your first year of employment and continues to grow each year.
• Retirement & Supplemental Insurance:
  • 403(b) Retirement plan with immediate matching 
  • Life insurance
  • Short and long-term disability
• Recreation Benefits, Wellness & More:
  • Up to $1,000 annual wellbeing reimbursement
  • Recreation discounts
  • Pet insurance

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About Vail Health

Vail Health, formerly Vail Valley Medical Center, is a nonprofit community health care system serving patients and guests from around the world. Locally operated and governed by a volunteer board of directors, Vail Health includes a 56-bed hospital, accredited by the Joint Commission. Our 24/7 emergency department in Vail is a Level III Trauma Center with a nearby helipad for necessary medical transports. Vail Health provides a wide array of services and access points including Beaver Creek Medical Center, urgent care clinics in Avon and Gypsum, our Edwards medical campus, Eagle Healthcare Center and a multispecialty clinic in Frisco. Howard Head Sports Medicine offers physical therapy services at 10 locations and works closely with our internationally renowned orthopaedic partners at The Steadman Clinic and Vail-Summit Orthopaedics. In addition, Vail Health's Shaw Cancer Center and Sonnenalp Breast Center are the region’s only fully accredited cancer treatment center and comprehensive breast center. The Vail Clinic, which was founded in 1965, officially became “Vail Valley Medical Center” in 1980, its first year as a full-service hospital. At that time, we had one primary locatio...n and 25 physicians. Today, Vail Health has locations in nine towns, nearly 1,000 employees, 260 physician partners and 85 volunteers. Vail Health is an equal-opportunity employer. The hospital is handicap accessible and adheres to the Americans with Disabilities Act. Smoking is prohibited in our facilities. This includes e-cigarettes.

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